2026 NPPES data Ambulatory Care Registered Nurse NPI 1497497036
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KRISTINA CROUSE

Ambulatory Care Registered Nurse in WARSAW, Indiana. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 155 beneficiaries · Ambulatory Care Registered Nurse avg: 695
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.234/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$400.94
19 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KRISTINA CROUSE is a Ambulatory Care Registered Nurse ([object Object]) practicing in WARSAW, Indiana with a Medicare Part D prescribing footprint of 1K claims across 155 beneficiaries — 19% brand-name prescribing . Their CMS MIPS Final Score of 81.234/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $400.94 across 19 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KRISTINA CROUSE reported a CMS MIPS final score of 81.234 out of 100, below the 83.1 national average, and filed 1,147 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KRISTINA CROUSE at a glance

Near national average

NPI registry status

Active

Issued 04/13/2022

NPI 1497497036

Primary specialty

Ambulatory Care Registered Nurse

Niche

3,123 US NPIs in this specialty

Medicare Part D claims

1,147 65% vs specialty avg

2023 prescription claims

Specialty avg: 695

MIPS final score

81.234/100 1.8659999999999997% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Indiana

How Ambulatory Care Registered Nurse compares to other specialties among Indiana providers

Indiana providers

Ambulatory Care Registered Nurse share within Indiana

1. Ambulatory Care Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ambulatory Care Registered Nurse share within Indiana

Medicare quality performance — MIPS

KRISTINA CROUSE's 2023 MIPS final score plotted against the Ambulatory Care Registered Nurse national average

Near national average
MIPS Final Score
81.234/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ambulatory Care Registered Nurse) — 81.234/100 vs national avg 83.1

0%100%National avg83%81.2%
MIPS final score (Ambulatory Care Registered Nurse) — 81.234/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KRISTINA CROUSE is a Ambulatory Care Registered Nurse provider practicing in WARSAW, Indiana, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1497497036. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KRISTINA CROUSE appears in the CMS NPPES registry as a Ambulatory Care Registered Nurse provider at 1355 MARINERS DR, WARSAW, IN, 46582, with a listed phone of (574) 267-6778. NPI 1497497036 was issued on 04/13/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CROUSE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,147 prescription claims written by this provider, covering 155 Medicare beneficiaries and totaling roughly $128K in drug spend, split 19% brand-name and 81% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.234/100 for the 2023 performance year (Quality 68.9532, Cost 68.4936), compared with the national average of 83.1.

Ambulatory Care Registered Nurse is a narrow specialty nationwide, with 3,123 enrolled providers across 53 states and an average of 695 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1355 MARINERS DR
WARSAW, IN 46582

Provider Details

NPI 1497497036
Specialty Ambulatory Care Registered Nurse
Gender Female
NPI Issued 04/13/2022

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

81.234
Final Score
Avg: 83.1
68.9532
Quality
68.4936
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KRISTINA CROUSE bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

PARKVIEW HEALTH SYSTEM INC
ALBION, IN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KRISTINA CROUSE. Source: openpaymentsdata.cms.gov.

Total received

$401

Largest payer

SHIELD THERAPEUTICS INC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

KRISTINA CROUSE — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 1,147 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,147
Total Claims
$128K
Total Drug Cost
155
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,796
Total Day Supply
50,702
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$111K
Generic Drug Cost
$15K
Antibiotic Claims
65

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
1.39
Gender Split
55% female / 45% male
Age Distribution
<65: 34, 65-74: 68, 75-84: 42, 85+: 11

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Amlodipine Besylate
57
Atorvastatin Calcium
56
Metformin Hcl
52
Albuterol Sulfate Hfa
Albuterol Sulfate
49
Buspirone Hcl
39
Levothyroxine Sodium
38
Trazodone Hcl
23
Carvedilol
22
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
20
Lisinopril
19

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ambulatory Care Registered Nurse Overview

How KRISTINA CROUSE fits within the Ambulatory Care Registered Nurse landscape nationally.

3,123
Ambulatory Care Registered Nurse Providers in US
53
States with Ambulatory Care Registered Nurse
695
Avg Claims per Provider

KRISTINA CROUSE's 1,147 claims are above the specialty average of 695.

Nearby Ambulatory Care Registered Nurse Providers in Indiana

Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as CROUSE.

Compare Ambulatory Care Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is KRISTINA CROUSE's specialty?
KRISTINA CROUSE specializes in Ambulatory Care Registered Nurse and practices in WARSAW, Indiana.
How much does KRISTINA CROUSE prescribe under Medicare Part D?
In 2023, KRISTINA CROUSE wrote 1,147 Medicare Part D claims totaling $128K in drug costs for 155 beneficiaries.
What is KRISTINA CROUSE's Medicare quality score?
KRISTINA CROUSE has a CMS MIPS Final Score of 81.234/100 (Quality: 68.9532, Cost: 68.4936). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KRISTINA CROUSE located?
KRISTINA CROUSE is located at 1355 MARINERS DR, WARSAW, IN, 46582. Phone: (574) 267-6778.
What is KRISTINA CROUSE's NPI number?
KRISTINA CROUSE's National Provider Identifier (NPI) is 1497497036, issued on 04/13/2022.
Does KRISTINA CROUSE prescribe more brand-name or generic drugs?
KRISTINA CROUSE's prescribing is 19% brand-name and 81% generic drugs by claim count, with $111K in brand drug costs.
How many Ambulatory Care Registered Nurse providers are there in the US?
There are 3,123 Ambulatory Care Registered Nurse providers across 53 states in the US. The average Ambulatory Care Registered Nurse provider writes 695 Medicare Part D claims per year.
What drugs does KRISTINA CROUSE prescribe most often?
Based on 2023 Medicare Part D data, KRISTINA CROUSE's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KRISTINA CROUSE accept Medicare?
KRISTINA CROUSE appears in CMS Medicare data with 1,147 Part D claims and 155 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KRISTINA CROUSE's credentials?
KRISTINA CROUSE's NPI is 1497497036. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology